2026 ICD-10-CM Diagnosis Code F19.20Other psychoactive substance dependence, uncomplicated
ICD-10-CM Codes›F01–F99›F10-F19›F19
- Billable — Valid for Submission
- Chronic Condition
F19.20 is a billable ICD-10-CM diagnosis code for other psychoactive substance dependence, uncomplicated. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 894 through 897. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified substance-related disorders.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Absinthe addiction
- Addiction
- Alcohol dependence
- Antidepressant dependence
- Combined opioid with non-opioid substance dependence
- Combined opioid with non-opioid substance dependence, continuous
- Combined opioid with non-opioid substance dependence, episodic
- Combined substance dependence, continuous
- Combined substance dependence, excluding opioid, continuous
- Combined substance dependence, excluding opioid, episodic
- Combined substance dependence, excluding opioids
- Continuous opioid dependence
- Drug addict
- Episodic opioid dependence
- Episodic polysubstance dependence
- Ergotamine dependence
- Maternal drug exposure
- Never injecting drug user
- PCP dependence
- Phencyclidine use disorder
- Physical addiction
- Physiological dependence on substance in therapeutic use
- Polysubstance dependence
- Postpartum substance dependence
- Pregnancy and substance dependence
- Psychoactive substance dependence
- Selective serotonin re-uptake inhibitor dependence
- Skin lesion in drug addict
- Substance dependence
- Substance dependence during pregnancy, childbirth and/or puerperium
- Substance dependence in childbirth
- Substance dependence in mother complicating pregnancy, childbirth and/or puerperium
- Substance dependence, continuous
- Substance dependence, episodic
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Other (or unknown) substance use disorder, moderate
- Other (or unknown) substance use disorder, severe
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Addiction - See Also: Dependence; - F19.20
- Dependence (on) (syndrome) - F19.20
- combinations of drugs - F19.20
- drug NEC - F19.20
- psychoactive NEC - F19.20
- ethyl
- nitrous oxide - F19.20
- polysubstance - F19.20
- Disorder (of) - See Also: Disease;
- substance use (other) (unknown)
- moderate or severe - F19.20
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Addiction
- Dependence(on) (syndrome)
- Dependence(on) (syndrome)
- combinations of drugs
- Dependence(on) (syndrome)
- drug NEC
- Dependence(on) (syndrome)
- drug NEC
- psychoactive NEC
- Dependence(on) (syndrome)
- ethyl
- carbamate
- Dependence(on) (syndrome)
- ethyl
- chloride
- Dependence(on) (syndrome)
- nitrous oxide
- Dependence(on) (syndrome)
- polysubstance
- Disorder(of)
- substance use (other) (unknown)
- moderate or severe
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Drug Use and Addiction
Drugs are chemical substances that can change how your body and mind work. They include prescription medicines, over-the-counter medicines, alcohol, tobacco, and illegal drugs.
The full article covers:
- What are drugs?
- What is drug use?
- What is drug addiction?
- Does everyone who takes drugs become addicted?
- Who is at risk for drug addiction?
- What are the signs that someone has a drug problem?
- What are the treatments for drug addiction?
- Can drug use and addiction be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert F19.20 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About F19.20Overview
Is F19.20 (Other psychoactive substance dependence) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other psychoactive substance dependence, uncomplicated on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does F19.20 group to?
When other psychoactive substance dependence, uncomplicated is the principal diagnosis on an inpatient stay, it groups to MS-DRG 894, 895, 896, 897, with relative weights from 0.6169 to 1.7451 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of F19.20?
Under the General Equivalence Mappings, other psychoactive substance dependence, uncomplicated converts to ICD-9-CM 304.60 (drug depend NEC-unspec), 304.61 (drug depend NEC-contin), and 304.62 (drug depend NEC-episodic). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.
